- The document discusses the rise of participatory health and Health 2.0, where patients are more actively engaged in managing their own health through online tools and communities.
- Key aspects of Health 2.0 include personalized search/information, online communities for support/knowledge sharing, and new tools that unlock health data and enable transactions.
- Participatory health involves patients partnering with providers to reform healthcare delivery through continuous involvement in care, supported by online/mobile resources.
MiHIN Direct Webinar for EHR Intelligence v10 11 12-14mihinpr
Direct Secure Messaging is a secure email system for exchanging protected health information. It uses encryption and digital certificates to securely transmit messages between known parties like providers, hospitals, and public health agencies. The document discusses how Direct is used for care coordination and public health reporting such as submitting immunization or quality data. It also reviews governance organizations like DirectTrust and NATE that work to expand Direct use and interoperability.
Directi Case Study Contest 2010-ISB GryffindorsDirecti Group
The document proposes a location-based social networking site called "Integrated Health Services: Panacea" focused on healthcare in India. It would help users and healthcare providers make better health decisions by providing personalized, location-based information and services. Key features would include health content search customized by location, online physician and patient communities, consultations with doctors, and health tips. The product aims to provide a one-stop platform to address current gaps in India's healthcare LBSN market. It would generate revenue through online consultations, advertisements, and strategic partnerships.
When the Human Genome Project was declared complete back in 2003, there were high expectations set for genomic medicine. However, it has taken over a decade to begin moving from vision to reality. Today, the number of success stories remains relatively small, but they do stretch across the healthcare ecosystem, incorporating the prediction of drug responses, the diagnosis of diseases and the identification of targeted therapies. Stakeholders ranging from patients, healthcare providers and payers, researchers, diagnostic companies, policy-makers, life sciences businesses and governments now believe genomic medicine to be a potential game-changer
This Webinar is the second of a three-part series synthesizing successful practices to engage hard-to-reach populations into HIV primary care. Lessons are drawn from SPNS population-specific initiatives, and speakers will offer insights relevant to a wide range of audiences, from clinicians to social workers. Presenters discussed the use of data to improve inreach.
Jane Herwehe, DeAnn Gruber, Betsy Shepard, and Debbie Wendell; Louisiana Public Health Information Exchange (LaPHIE)
Peter Gordon, MD; New York-Presbyterian Hospital/Columbia University
Jesse Thomas; RDE Systems
MiHIN Overview - Health Information Exchange Meet and Greet v7 10 22-14mihinpr
The document provides an overview of MiHIN, which is a statewide health information exchange network in Michigan. It describes how MiHIN connects various healthcare organizations across the state through a common framework to enable the secure sharing of patient health information. MiHIN uses a "use case" approach where specific clinical scenarios define how data will be shared for different purposes, such as care coordination, public health reporting, and quality improvement. It also outlines MiHIN's governance structure and stakeholder groups that help guide its operations.
MiHIN Statewide Consumer Directory Overview - Direct Workgroup v4 03-09-15mihinpr
The document proposes a Statewide Consumer Directory (SCD) to give consumers more control over their personal health information by providing a single location for consumers to:
1) Identify their care team members and preferred providers.
2) Specify their preferences for consenting to how and where their health data is shared.
3) Define where their health data is stored across different systems and records.
The SCD would also benefit providers by allowing them to find a patient's care team, understand a patient's consent preferences, locate important documents like advance directives, and identify where to send patient data. The SCD aims to address current fragmentation of health information across different personal health records, provider portals, and specialty systems.
This document provides an overview of the MiHIN (Michigan Health Information Network) and health information exchange (HIE) in Michigan. It discusses how HIE benefits care coordination by avoiding duplicate tests and enabling timely diagnosis. It also outlines how MiHIN facilitates statewide HIE through a network of networks model with multiple qualified organizations connected to share data. The governance structure and various workgroups that support MiHIN operations are described.
Top 5 Telemedicine Regulatory Hurdles To OvercomeVSee
For more information please visit: https://vsee.com/blog/top-5-telemedicine-regulatory-hurdles-to-overcome/
For other webinars:
https://vsee.com/webinars/
Or join our Linkedin Group: https://www.linkedin.com/groups/Telehealth-Failures-Secrets-Success-13500037/about
Or Join our Facebook Group:
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MiHIN Health Provider Directory Demo Slides with CQMRR v43 02 18-15mihinpr
The document provides an overview of the Michigan Statewide Health Provider Directory (HPD) service. The HPD service allows for the storage and sharing of electronic provider information to support use cases like transitions of care. It utilizes Salesforce platform for a production-quality deployment and supports integration through APIs. The HPD also focuses on routing health records via electronic service information and supports quality reporting through clinical quality measurement portals.
Mobile health applications are growing rapidly, with 72% of physicians currently using smartphones. The most popular platforms for medical apps are currently the iPhone and Blackberry. In the future, more apps will be developed for Android tablets and Windows Phone 7. Popular current medical apps include Epocrates for drug references, Medscape for extensive medical content and CME, and various clinical apps like Nimble that allow access to electronic health records from mobile devices. Remote monitoring apps are also emerging that allow monitoring patients from ICUs and during childbirth from mobile devices. Future directions include more "web apps" that can be accessed from any device and app stores within electronic health records to facilitate integration.
The document provides an overview of the Florida Health Information Exchange (HIE). It describes two key HIE services - Direct Secure Messaging (DSM), which allows participants to securely share encrypted health information, and Patient Look-Up (PLU), which allows clinicians to query and retrieve patient records. It notes that over 4,000 Florida users are connected through DSM, including connections being established to other states. The HIE also supports disaster preparedness by allowing out-of-state providers to request patient information from Florida providers.
A Vision for Creating a Connected State Subra Sripadamihinpr
The document presents a vision for connecting healthcare in Michigan by integrating clinical data across stakeholders through various health information exchanges (HIEs). The vision is for critical patient data to be available anywhere, anytime for any Michigander. This will allow for effective population health management through data transparency and analytics. The document outlines existing connectivity in Michigan including the 7 state HIEs and increasing EMR adoption among providers. Opportunities discussed include automating clinician access to patient data, alerting doctors to patient events, reducing provider burden, engaging consumers, and maintaining patient privacy.
The Virginia HIT Regional Extension Center (VHIT) is a team of experienced health IT professionals that helps primary care providers in Virginia select and implement electronic health record (EHR) systems to meet Medicare and Medicaid meaningful use criteria. VHIT provides training, tools, and access to discounted EHR systems from select partners to help providers transition to digital records. They assist a wide range of primary care provider types throughout the Commonwealth. VHIT's services are intended to guide providers through the process of changing their office workflows and improving patient care using health IT.
As countries continue to invest and make strides toward achieving the SDGs and universal health coverage, strong routine health information systems (RHIS) are fundamental to the effort. Well-functioning RHIS provide a wealth of data on a country’s health system, including service delivery, availability of a trained workforce, and reach of interventions, that can be harnessed to identify gaps and support evidence-based decision making. Yet, while many low-to-middle income (LMIC) countries have established a national RHIS structure, there are existing challenges related to the availability, analysis, and use of the data that have yet to be addressed.
Emails for Improved Doctor Patient Communication contains information for clinics, hospitals and doctors to help them use Emails effectively with patients to improve Patient Engagement, Patient Satisfaction and Quality of Care
Mental health patients often suffer from multiple health conditions simultaneously, making integrated care that shares information across providers important. As data sources like social media, telemedicine, and wearables grow, patients will play a more active role in their care through shared decision making. Healthcare organizations must embrace mental health, consider the economic benefits of integrated data, and leverage feedback to continuously improve quality care for patients dealing with both physical and mental health issues.
The document summarizes discussions from the Virginia Health Reform Initiative Technology Task Force. It discusses the task force's charge to explore how technology can improve healthcare access and lower costs. Key areas discussed include expanding telemedicine, developing an all-payer claims database, and using health information technology like electronic health records. The task force also addressed ongoing state efforts to boost healthcare workforce capacity and reform Medicaid programs and eligibility in light of federal health reforms.
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
This document discusses transcending health information exchange (HIE) by envisioning Michigan as a "Learning Health State". It introduces the concept of a Learning Health System (LHS) which aims to continuously improve health and healthcare by generating new knowledge from care experiences. The document outlines core components of an LHS including infrastructure, governance, and data sharing/analysis. Building an LHS at national and state levels could enable benefits like rapid drug safety updates and epidemic surveillance. The document advocates for Michigan to endorse LHS values and join the emerging Learning Health Community.
Panel: Understanding Michigan's HIE Landscapemihinpr
• Susan Hubbard, SEMHIE
Board of Directors
• Robert Jackson, MD, CMM
(Western Wayne Physicians)
• Jeanette Klanow, (St. John Providence
Health System)
• Helen Hill, MiHIN Board Rep., Director
Public-Private Initiatives
• Michael (Mick) Talley, Treasurer
(University Bank)
• John Vismara, President (Ingenium)
• Terrisca Des Jardins, Director (SEMBC)
• Doug Dietzman, Executive Director
(Macomb County HIE)
• Paula Johnson, Director (UPHIE)
• Aaron Wootton, Director
Shared By The Many: Advances in technology are allowing for the provision of affordable, decentralized healthcare for the masses and are lowering the barriers to entry in less developed markets.
The analysis in PSFK’s Future of Health Report has yielded a number of insights, the most evident of which is mobile technology as a catalyst for change. The mobile phone and connected tablet computer are allowing for the distribution of a broad range of medical and support services. This is especially important in countries with little or no healthcare infrastructure and areas in which there are few trained healthcare professionals. These technologies also allow trained professionals to perform quality control remotely.
Amongst the many significant developments is a shift towards one-on-one, in- field diagnostics and monitoring. Services that were once only available at a doctor’s office or hospital are now available on-demand through low-tech, affordable solutions. Personal systems allow for ‘good enough’ diagnostics that would have been difficult, expensive and timely to attain previously.
Using a basic phone with adapted software, a health worker can test for myriad symptoms - even cancer. This information can be relayed to a central medical care center where doctors and trained professionals can react to the data, provide prompt diagnosis and suggest treatment options. The ability to capture this data and get quick responses remotely means better healthcare, fewer trips to the hospital (which, for many means days away from home and family), and less time away from work.
A change is also occurring that is seeing increased access to and sharing of health information. This is made possible by the proliferation of systems designed to overcome infrastructure insufficiencies. these systems are enabling the broadcast of information and receipt of subsequent feedback in virtually any setting. From ‘town crier’ systems to ‘internet by text’, the collective knowledge found on the web is being made available to populations around the world who previously lacked access. The connectivity that is enabling the sharing of health information is also powering the growth of social networks focused on health and medical care. These networks are allowing professionals, health workers and individuals to connect and share knowledge quickly.
PSFK’s Future of Health Report details 15 trends that will impact health and wellness around the world. Simple advances such as off-the-grid energy and the introduction of gaming into healthcare service offerings sit alongside more future-forward developments such as bio-medical printing. It is our hope that this report will inspire your thinking and lead to services, applications and technologies which will allow for more available, quality healthcare.
For a download of this report - visit: http://www.psfk.com/future-of-health
web2.0:Beyond Open Source in Health Caretobyo_init
The document discusses the emergence and applications of Web 2.0 technologies in healthcare. It describes how Web 2.0 utilizes open-source platforms like Linux, Apache, MySQL and PHP to allow users to control their own data through services rather than packaged software. Examples of Web 2.0 applications that could benefit healthcare include blogs, wikis, social networking, tagging, and media sharing sites for clinicians, patients and consumers.
Matthew Holt analyzed several forecasts and scenarios related to health care spending and insurance coverage in the United States. His analysis showed that forecasts from 2010 underestimated the number of uninsured Americans and overestimated per capita health care spending. Reform after 2010 led to fewer uninsured Americans but health care spending as a share of GDP remained higher than predicted. Without reform, more Americans would be uninsured and health care costs would continue to rise rapidly.
This document discusses the opportunity for transformation in healthcare through a P4 (Predictive, Preventive, Personalized, and Participatory) approach. It notes that the current healthcare system spends most of its resources on treating preventable chronic diseases. It proposes using complex systems approaches and personalized medicine to shift focus toward prevention, wellness, and patient engagement. The document outlines pilot projects at Ohio State applying a P4 approach to wellness and care coordination for chronic conditions.
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Med...Ryan Squire
Medicine of the Future—The Transformation from Reactive to Proactive (P4) Medicine as presented at the Ohio State University Medical Center Personalized Health Care National Conference.
Leroy Hood, MD, PhD, is the president and founder of the Institute of Systems Biology. Dr. Hood is a member of the National Academy of Sciences, the American Philosophical Society, the American Academy of Arts and Sciences, the Institute of Medicine and the National Academy of Engineering. His professional career began at Caltech where he and his colleagues pioneered four instruments — the DNA gene sequencer and synthesizer and the protein synthesizer and sequencer — which comprise the technological foundation for contemporary molecular biology. In particular, the DNA sequencer played a crucial role in contributing to the successful mapping of the human genome during the 1990s.
http://www.systemsbiology.org/Scientists_and_Research
Health 2.0 refers to the application of Web 2.0 technologies and principles to healthcare, including personalized search tools, online health communities that share information, and new interfaces and analytics that unlock health data. The document outlines the current state of Health 2.0 with search, communities and tools, and predicts future directions such as better integration of these areas and new "unplatforms" that bring together applications and data across different services. The goal is more engaged patients and improved healthcare through leveraging collective knowledge and data.
The document discusses the progression of Health 2.0 from user-generated health care to partnerships reforming health care delivery to data driving decisions and discovery. It outlines the stages of Health 2.0 and how data from individuals, populations, and references is integrated through a data utility layer to power unplatforms and composite applications that inform decisions and actions.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
The document discusses trends in healthcare including user-generated healthcare, consumers connecting directly with providers, and partnerships to reform healthcare delivery. It focuses on four main topics: wellness 2.0 and prevention through exercise and food; making healthcare cheaper by focusing on high-cost patients, accountable care models, and paying for outcomes; connecting consumers to providers; and the evolution of research through open data, real-time data capture, and crowdsourced information. Data is seen as driving decisions and discovery.
Dr. Leroy Hood lectured to a group of Ohio State University College of Medicine students and faculty on May 13, 2010 in advance of an announcement of a partnership between the Ohio State University Medical Center and the Institute for Systems Biology. The partnership will be known as
This document summarizes Don Juzwishin's 2009 plenary speech at the ITCH conference about revolutionizing healthcare with health informatics. It discusses how technologies like Web 2.0, Health 2.0, and Medicine 2.0 can enable improvements by empowering patients, improving knowledge sharing between providers, and enabling healthcare reforms. The speech argues these technologies provide opportunities to improve outcomes by making high-quality evidence more accessible and encouraging collaboration, but require cultural changes for healthcare to fully benefit.
This document discusses the emergence of social media and online social networks in health care. It notes that 60-80% of Americans use the internet to find health information, rivaling doctors as a top source. Through social media, patients can share personal health stories and collectively gain clinical insights beyond any single patient or physician. This phenomenon is known as "Health 2.0" and leverages the "wisdom of crowds" where groups can be smarter than individual experts. Examples highlighted include PatientsLikeMe where patients share information about conditions like multiple sclerosis. The document explores how social media is empowering patients and changing relationships with traditional health stakeholders by facilitating information sharing and debate. Critics argue bad health information could spread, but proponents note
Social Media and Medicine: Fad or Shift?Gregg Masters
A social media tutorial for client medical group, including details on physician immersion in the broadly cast "digital health channel'. Some key trends in digital health, including both primary and secondary market research are recapped to suggest certain forward implications for a 'cloud based web presence'. Is social media a fad, I don't think empirical evidence would suggest such a conclusion.
This document discusses the revolution of the e-patient and e-doctor through online and social media platforms. It provides data on increasing usage of social media in healthcare, including statistics on patients searching for health information online and engaging with social networks. Examples are given of pharmaceutical and medical organizations utilizing social media and various health-related applications are mentioned.
This document discusses how consumers use the internet and social media for health information. About half of US adults own smartphones and 17% use them to look up health information. Social media allows for direct communication between patients and providers and the sharing of health experiences. However, privacy and unreliable information are concerns. The role of nurses includes disseminating effective health information online and enhancing provider-patient communication through technology.
- The document discusses the Centers for Disease Control and Prevention's (CDC) use of social media and health marketing to promote public health.
- The CDC aims to influence behaviors and decisions through engaging and personalized health messages on social media platforms. This includes disseminating information on blogs, social networks, virtual worlds, and mobile applications.
- As a case study, the CDC used various new media channels to distribute resources on coping with stress after the Virginia Tech shooting tragedy in 2007. This helped the CDC information reach a wider audience.
The Power of Social in health and healthcareD3 Consutling
This document summarizes key points about the power of social networks in health and healthcare. It discusses how social media is increasingly important for patients and providers. Patients are using social platforms to find support from others experiencing similar health issues and to learn about new treatments. Some healthcare providers are effectively using social media to engage patients and share medical expertise. The document also describes several digital health startups that are connecting patients, caregivers, and medical professionals through social platforms to improve health outcomes.
The document discusses the opportunities and challenges of social media marketing in the pharmaceutical industry. It notes that while social networking can help interact with healthcare professionals, consumers, and for knowledge sharing, pharmaceutical companies tend to have more risk-averse cultures that value control over information. Effective social media engagement may require companies to adopt more open and collaborative approaches.
This document discusses the use of social media in healthcare. It finds that affluent younger adults use social media to influence healthcare decisions, with sites like Facebook being popular. Social media can raise health awareness, empower patients, and provide real-time information. While some view social media as reliable, physicians are discouraged from direct interaction due to privacy and ethical concerns, though sharing research is allowed. Recommendations include modifying privacy rules and appealing for social media support.
Digital Health: Medicine at the CroosroadsSteven Peskin
This document discusses the implications of mobile health and social media in clinical practice. It describes the three components of digital health as applications, devices, and infrastructure. Mobile technologies and social media have tremendous potential to improve care delivery, patient safety, information dissemination, and chronic disease management. The document outlines how physician communities on social media can facilitate knowledge sharing and discusses the growth of medical apps. It predicts that mobile health and social media will become integrated into everyday healthcare through digital tools and communities.
This document discusses stakeholders in healthcare including patients, providers, policymakers, payers and the public. It outlines the roles and perspectives of each group. It also discusses various areas of health informatics including clinical informatics, public health informatics, and consumer health informatics. Social media and personal health records are presented as important tools for consumer health informatics. Barriers and issues related to their adoption are mentioned.
The document discusses the future of participatory and patient-driven health initiatives. It outlines several emerging models including social media for health, smartphone health apps, personal health records, personalized genomics, crowdsourced health studies, and next-generation participatory approaches. The increasing role of patients and citizens in their own health research and care is driven by new technologies that lower costs and facilitate sharing of data.
This document discusses the potential benefits of physicians using social media and engaging patients. It outlines how social media can enhance patient engagement, be used in medical education, and provide a return on investment. Some key points include:
- Social media allows bidirectional communication between patients, doctors, and other stakeholders.
- It can help empower patients and move towards a health 2.0 model with more engaged patients.
- Physicians should consider using social media to engage with patients, enhance their expertise, and stay relevant in an increasingly digital world.
- There are opportunities to use social media in medical education and for collaborations, but privacy and professionalism must be considered.
Slides of talk "Open Science, Open Data, Science 2.0: What Are They and Why Should Medical Librarians Care?" given at the 2010 annual meeting of the Pacific Northwest Chapter of the Medical Library Association.
This document discusses the emergence of Web 2.0, Health 2.0, and Medicine 2.0 and how they are changing the way healthcare information is shared and accessed. It defines each concept and notes that while they provide opportunities for improved healthcare experiences and outcomes, issues around privacy, information control and accuracy must be addressed. The document also outlines benefits these technologies could provide to various groups like citizens, healthcare providers, researchers and policymakers if these issues are adequately addressed.
Canadian physicians and social media: A prognosisPat Rich
This document discusses Canadian physicians' use of social media based on available research. It finds limited data but indicates use is increasing personally and professionally. Physicians are cautious due to privacy, liability and time concerns. Benefits of social media include communicating with patients and peers, research, and public health monitoring. Medical associations are more actively using social media than individual doctors. Overall, the prognosis is that Canadian physicians' social media use will continue growing as benefits become clearer.
The document discusses the Query Health initiative, which aims to establish standards and services for distributed population queries of clinical records to enable a national "learning health system." It describes some pilots that are launching this summer and fall to test querying data from various sources like public health departments and the FDA to understand population health metrics and drug safety. The document advocates that implementing distributed population queries following common standards can improve using health IT to benefit patients and populations by aggregating and analyzing vast health data in real-time.
Similar to Health 20 And Participatory Health (20)
General Endocrinology and mechanism of action of hormonesMedicoseAcademics
This presentation, given by Dr. Faiza, Assistant Professor of Physiology, delves into the foundational concepts of general endocrinology. It covers the various types of chemical messengers in the body, including neuroendocrine hormones, neurotransmitters, cytokines, and traditional hormones. Dr. Faiza explains how these messengers are secreted and their modes of action, distinguishing between autocrine, paracrine, and endocrine effects.
The presentation provides detailed examples of glands and specialized cells involved in hormone secretion, such as the pituitary gland, pancreas, parathyroid gland, adrenal medulla, thyroid gland, adrenal cortex, ovaries, and testis. It outlines the special features of hormones, differentiating between peptides and proteins based on their amino acid composition.
Key principles of endocrinology are discussed, including hormone secretion in response to stimuli, the duration of hormone action, hormone concentrations in the blood, and secretion rates. Dr. Faiza highlights the importance of feedback control in hormone secretion, the occurrence of hormonal surges due to positive feedback, and the role of the suprachiasmatic nucleus (SCN) of the hypothalamus as the master clock regulating rhythmic patterns in biological clocks of neuroendocrine cells and endocrine glands.
The presentation also addresses the metabolic clearance of hormones from the blood, explaining the mechanisms involved, such as metabolic destruction by tissues, binding with tissues, and excretion by the liver and kidneys. The differences in half-life between hydrophilic and hydrophobic hormones are explored.
The mechanism of hormone action is thoroughly covered, detailing hormone receptors located on the cell membrane, in the cell cytoplasm, and in the cell nucleus. The processes of upregulation and downregulation of receptors are explained, along with various types of hormone receptors, including ligand-gated ion channels, G protein–linked hormone receptors, and enzyme-linked hormone receptors. The presentation elaborates on second messenger systems such as adenylyl cyclase, cell membrane phospholipid systems, and calcium-calmodulin linked systems.
Finally, the methods for measuring hormone concentrations in the blood, such as radioimmunoassay and enzyme-linked immunosorbent assays (ELISA), are discussed, providing a comprehensive understanding of the tools used in endocrinology research and clinical practice.
These lecture slides, by Dr Sidra Arshad, offer a simplified description of the physiology of insulin and glucagon.
Learning objectives:
1. Describe the synthesis and release of insulin
2. Explain the mechanism of action of insulin
3. Discuss the metabolic functions of insulin
4. Elucidate the effects of insulin on adipose tissue, skeletal muscle, and liver
5. Enlist the factors which stimulate and inhibit the release of insulin
6. Explain the mechanism of action of glucagon
7. Discuss the metabolic functions of glucagon
8. Elucidate the role of insulin and glucagon in glucose homeostasis during the fasting and fed states
9. Discuss the role of other hormones in the glucose homeostasis
10. Differentiate between the types of diabetes mellitus
11. Explain the pathophysiology of the features of diabetes mellitus
12. Discuss the complications of diabetes mellitus
13. Explain the rationale of oral hypoglycemic drugs
14. Describe the features of hyperinsulinemia
Study Resources:
1. Chapter 79, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 24, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 39, Berne and Levy Physiology, 7th edition
4. Chapter 19, Human Physiology, From Cells to Systems by Lauralee Sherwood, 9th edition
5. Chapter 3, Endocrine and Reproductive Physiology, Bruce A. White and Susan P. Porterfield, 4th edition
6. Insulin and Insulin Resistance, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1204764/
7. Complications of diabetes mellitus,
https://pdb101.rcsb.org/global-health/diabetes-mellitus/monitoring/complications
Genetic deletion of HVEM in a leukemia B cell line promotes a preferential in...MARIALUISADELROGONZL
Introduction: A high frequency of mutations affecting the gene encoding Herpes
Virus Entry Mediator (HVEM, TNFRSF14) is a common clinical finding in a wide
variety of human tumors, including those of hematological origin.
Methods: We have addressed how HVEM expression on A20 leukemia cells
influences tumor survival and its involvement in the modulation of the antitumor
immune responses in a parental into F1 mouse tumor model of hybrid
resistance by knocking-out HVEM expression. HVEM WT or HVEM KO leukemia
cells were then injected intravenously into semiallogeneic F1 recipients and the
extent of tumor dissemination was evaluated.
Results: The loss of HVEM expression on A20 leukemia cells led to a significant
increase of lymphoid and myeloid tumor cell infiltration curbing tumor
progression. NK cells and to a lesser extent NKT cells and monocytes were the
predominant innate populations contributing to the global increase of immune
infiltrates in HVEM KO tumors compared to that present in HVEM KO tumors. In
the overall increase of the adaptive T cell immune infiltrates, the stem cell-like
PD-1- T cells progenitors and the effector T cell populations derived from them
were more prominently present than terminally differentiated PD-1+ T cells.
Conclusions: These results suggest that the PD-1- T cell subpopulation is likely
to be a more relevant contributor to tumor rejection than the PD-1+ T cell subpopulation. These findings highlight the role of co-inhibitory signals delivered
by HVEM upon engagement of BTLA on T cells and NK cells, placing HVEM/BTLA
interaction in the spotlight as a novel immune checkpoint for the reinforcement
of the anti-tumor responses in malignancies of hematopoietic origin.
PICTURE TEST IN OBSTETRICS AND GYNAECOLOGY-Aloy Okechukwu Ugwu.pptxAloy Okechukwu Ugwu
This picture test will help medical students preparing for their final exams.
It will also be useful for resident doctors preparing for part 1 exam of National Postgraduate medical college of Nigeria and West African college of surgeons in Obstetrics and Gynaecology
2024 07 12 Do you share my autistic traits_ - Google Sheets.pdfCarriePoppy
I made this spreadsheet when I was waiting for my autism assessment. It helped me determine that I probably have autism. When I did get tested, they (UCLA) told me I do, indeed, have Type 1 autism. You can use this spreadsheet to compare your experience to mine. I am a white woman, AFAB. My diagnosis is Type 1 autism with a pragmatic language deficit.
Prakinsons disease and its affect on eye.Riya Bist
Enhance your knowledge about Parkinsons' disease and about basic concept that medical personnel should know regarding this topic.It is very important to know about systemic disease and its impact on the eye so, here you can learn quickly about Parkinson's disease and its ocular manifestation.Download the ppt for visualization of animation.Thank you.
Report Back from ASCO 2024: Latest Updates on Metastatic Breast Cancer (MBC)....bkling
Join Dr. Kevin Kalinsky, breast oncologist and researcher from Emory Winship Cancer Institute, to learn about the latest updates from The American Society of Clinical Oncology (ASCO) annual meeting 2024.
A medical treatment that uses high doses of radiation to kill cancer cells or shrink tumors by damaging their DNA. When the DNA is damaged, cancer cells can no longer divide and grow, and they eventually die.
Principles of Cleaning
Nonsurgical root canal treatment is a predictable method of retaining a tooth that otherwise would require extraction. Success of root canal treatment in a tooth with a vital pulp is higher than that of a tooth that is necrotic with periradicular pathosis. The difference is the persistent irritation of necrotic tissue remnants, and the inability to remove the microorganisms and their by-products. The most significant factors affecting this process are tooth anatomy and morphology, and the instruments and irrigants available for treatment. Instruments must contact and plane the canal walls to debride the canal.
Morphologic factors such as lateral and accessory canals, canal curvatures, canal wall irregularities, fins, cul-de-sacs, and isthmuses make total debridement virtually impossible. Therefore the goal of cleaning not total elimination of the irritants but it is to reduce the irritants.
Currently there are no reliable methods to assess cleaning. The presence of clean dentinal shavings, the color of the irrigant, and canal enlargement three file sizes beyond the first instrument to bind have been used to assess the adequacy; however, these do not correlate well with debridement. Obtaining glassy smooth walls is a preferred indicator. The properly prepared canals should feel smooth in all dimensions when the tip of a small file is pushed against the canal walls. This indicates that files have had contact and planed all accessible canal walls thereby maximizing debridement (recognizing that total debridement usually does not occur).
Principles of Shaping
The purpose of shaping is to
1) facilitate cleaning and
2) provide space for placing the obturating materials.
The main objective of shaping is to maintain or develop a continuously tapering funnel from the canal orifice to the apex. This decreases procedural errors when cleaning and enlarging apically. The degree of enlargement is often dictated by the method of obturation. For lateral compaction of gutta percha the canal should be enlarged sufficiently to permit placement of the spreader to within 1-2 millimeters of the corrected working length. There is a correlation between the depth of spreader penetration and the apical seal.5 For warm vertical compaction techniques the coronal enlargement must permit the placement of the pluggers to within 3 to 5 mm of the corrected working length.6
As dentin is removed from the canal walls the root is weakened.7 The degree of shaping is determined by the preoperative root dimension, the obturation technique, and the restorative treatment plan. Narrow thin roots such as the mandibular incisors cannot be enlarged to the same degree as more bulky roots such as the maxillary central incisors. Post placement is also a determining factor in the amount of coronal dentin removal.
Definition of mental health nursing, terminology, classification of mental disorder, ICD-10, Indian Classification, Personality development, defense mechanism, etiology of bio psychosocial factors,
These simplified lecture slides by Dr Sidra Arshad offer a concise look at the cardiovascular effects of heart failure:
1. Define cardiac failure, its pathophysiology and clinical manifestations
2. Differentiate between the factors causing hyper-effective and hypo-effective heart functions
3. Differentiate between right and left heart failure based on their presentation
4. Outline the physiology of treatment of cardiac failure
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn J...rightmanforbloodline
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
TEST BANK Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, All Chapters 1 - 32 Full Complete.pdf
As a leading rheumatologist in Chandigarh, Dr. Aseem specializes in the diagnosis and management of a wide range of rheumatic conditions, including but not limited to:
Rheumatoid Arthritis: An autoimmune disorder that causes chronic inflammation of the joints.
Osteoarthritis: A degenerative joint disease characterized by the breakdown of cartilage.
Lupus: A systemic autoimmune disease that can affect the skin, joints, kidneys, and other organs.
Ankylosing Spondylitis: A type of arthritis that primarily affects the spine, causing pain and stiffness.
Gout: A form of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in the joints.
Psoriatic Arthritis: A type of arthritis that affects some people with psoriasis.
Vasculitis: An inflammation of the blood vessels that can cause a variety of symptoms.
Sjogren’s Syndrome: An autoimmune disorder characterized by dry eyes and mouth.
Accurate diagnosis is crucial for effective treatment. Dr. Aseem Goyal utilizes advanced diagnostic techniques to identify the underlying causes of rheumatic conditions. Our state-of-the-art facility is equipped with the latest technology to provide comprehensive diagnostic services, including:
Blood Tests: To check for markers of inflammation and autoimmune activity.
Imaging Studies: Such as X-rays, MRI, and ultrasound to assess joint and soft tissue damage.
Joint Fluid Analysis: To examine the fluid in the joints for signs of inflammation or infection.
Biopsy: In certain cases, a small tissue sample may be taken for further examination.
Treatment Approaches
Dr. Aseem Goyal adopts a holistic and patient-centered approach to treatment. Depending on the specific condition and its severity, treatment options may include:
Medications
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): To reduce inflammation and relieve pain.
Disease-Modifying Antirheumatic Drugs (DMARDs): To slow the progression of rheumatic diseases.
Biologic Agents: Targeted therapies that block specific pathways in the immune system.
Corticosteroids: To control severe inflammation quickly.
कायाकल्प क्लिनिक: पटना के अग्रणी सेक्सोलॉजिस्ट और स्किन केयर विशेषज्ञ
पटना का एक शानदार स्वास्थ्य सेवा प्रदाता, कायाकल्प क्लिनिक, आपके स्वास्थ्य और त्वचा की देखभाल में विशेषज्ञता प्रदान करता है। हमारे नवीनतम तकनीकी समाधानों और अनुभवी विशेषज्ञों के साथ, हम पुरुष और महिलाओं के स्वास्थ्य सम्बंधित मुद्दों को हल करते हैं। यहां पर हम प्रदान करते हैं:
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Anthelmintics or antihelminthics are a group of antiparasitic drugs that expel parasitic worms and other internal parasites from the body by either stunning or killing them and without causing significant damage to the host. They may also be called vermifuges or vermicides
1. The State of Health 2.0 and Participatory Health -- Patients Get Smart About Managing Health Jane Sarasohn-Kahn, MA, MHSA THINK-Health and Health Populi blog Matthew Holt, MS, MA Conference and The Health Care Blog Tuesday, March 2, 2010 1:00 – 2:00 pm HIMSS10 Annual Conference & Exhibition Georgia World Conference Center, Georgia Ballroom 1 Atlanta, GA THINK-Health
2. Conflict of Interest Disclosure Jane Sarasohn-Kahn, MA, MHSA Matthew Holt, MS, MA Have no real or apparent conflicts of interest to report.
3. Objectives Describe the current state-of-the-art of Health 2.0: definitions, tools, continuum Illustrate how web-based tools are helping support patients and providers in managing chronic conditions Define the emerging Participatory Health movement and how it will impact health providers Identify challenges and opportunities for HIMSS attendees in patient-centered care that's enabled through web 2.0 technologies.
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6. Americans’ Use of the Internet and Social Networks for Health Pew and Manhattan Research Confirm the Trend Source: Social Life of Health Information, Pew Internet & American Life Project, June 2009; Health 2.0 on the Rise – 35% of U.S. Adults Use Social Media for Medical Information, Manhattan Research, October 2009 - 35% of U.S. adults used social media for health and medical purposes in 2009, according to Manhattan Research - These 80 million consumers create or consume content on health blogs, message boards, chat rooms, health social networks and health communities, and patient testimonials. Pew: Percentage of Internet Users and Adults Who Have Looked Online for Information About a Specific Disease or Medical Problem, 2002-2008 Manhattan Research: Health 2.0 Use is Growing Among American Health Consumers
8. eThis, That & The other vs. Web 2.0 Adapted/stolen from Jane Sarasohn-Kahn WWW, born 1994-5 publishing, searching, reading Content Management Syndicated Subscribed Internally created Integrated from data sources “ Webmaster” regulated Institutional publishing standards Prescribed branding Dominant letters e, later i Dash optional Web 2.0, nee. 2003-5 uploading, sharing, collaborating, searching Social networks Blogs Wikis Forums, Groups, Discussions Video/content sharing Microblogging (Tweet, Tweet) Sharing Tools Community policing Posting guidelines Dominant letters r, z, x, 2.0 Periods, but no vowels allowed
9. “ ...Social software and lightweight tools that promote collaboration between... stakeholders ” - Matthew Holt and Jane Sarasohn-Kahn “ ... all the constituents focus on health value…improving safety, efficiency and quality of healthcare” - Scott Shreeve "health 2.0 is participatory healthcare... we the patients can be effective partners in healthcare .” - Ted Eytan
10. What is “Health 2.0” Matthew Holt’s best guess at the constituent parts Personalized search that looks into the long tail, and cares about the user experience Communities that capture the accumulated knowledge of patients and caregivers – and explain it to the world Intelligent tools for content delivery -- and transactions Better integration of data with content And not just a maybe…. Technologies fusing as patients increasingly guide their own care
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12. SEARCH: Gets deeper and more personalized Presentation Deep Search Real Time Answers
39. Health 2.0: What’s coming next? Integration of the three constituent parts (search, communities, tools—all mash up) The data utility layer allows easy inclusion of same data between different services (liquidity) ( You may have heard of HealthVault, Google Health ) Greater diversity in data types The emergence of new “unplatforms”
45. A Continuum of Health 2.0? User-generated health care Users connect to providers Partnerships to reform delivery Data drives decisions and discovery
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48. Now, let’s focus on Participatory Health… User-generated health care Users connect to providers Partnerships to reform delivery Data drives decisions and discovery
49. Total U.S. Health Spending in 2007 = $2.2 trillion Source: Centers for Medicare and Medicaid Services
51. “ In our country, patients are the most under- utilized resource , and they have the most at stake. They want to be involved and they can be involved. Their participation will lead to better medical outcomes at lower costs with dramatically higher patient/customer satisfaction.” Charles Safran, MD, President, American Medical Informatics Association From his testimony before the Subcommittee on Health of the House Committee on Ways and Means
52. Participatory Health The U.S. Health Environment 75% of $2.2 trillion spent on health in U.S. is for chronic disease = $1.7 trillion 1/3 of chronically ill people leave docs’ office feeling confused about next steps Kleinke’s Oxymoron: the U.S. “system” is fragmented Patients, too, don’t adhere to treatment regimens Limited data liquidity ( EHR adoption will improve).
54. “ Participatory Health is the New Woodstock” Breaking the traditional mode of doctor-patient relationship relying on patient passivity Patients actively engage in their own health care partnering with providers and trusted experts Continuous, cooperative, coordinated.
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56. What’s Driving the Health Citizen Toward Participatory Health? An online, 24x7 world for more and more people People DIY and project-manage travel, financial services, entertainment online > social networking online overall; health has followed other consumer verticals > consumer-directed care: >OOP costs drive engagement The search for transparency, value and empowerment in health > “DIY” care (esp. in recession – KFF tracking poll data).
57. The Ideal Connection: Continuous, Tailored, Actionable Support for full range of patient’s health activities Regular monitoring of patient status Ongoing adjustment of regimen by providers-to-patients based on status Interpretation of patient data vis-à-vis both (1) clinical and (2) personal goals Support for ongoing learning Timely communication to patient of tailored advice Rinse, repeat!
58. Health companies’ Web sites TV News coverage Articles in magazines Web sites for specific brands of medication Films or documentaries Online message boards, forums or newsgroups Articles in newspapers Radio news coverage Personal blogs Social networking websites Corporate and product advertising Web-based video sharing sites Net becoming more important Net becoming less important Source: Edelman Health Engagement Barometer, October 2008 Engaged Patients See Conversations with Docs Will Become More Important Along with Personal and Health Expert Channels
60. Participatory Health – Opportunities to/Barriers for Providers Opportunities Engage, collaborate with consumers Greater tailoring improves engagement, outcomes, trust Compete more effectively vs. other providers Leverage technology platforms consumers already like using in other aspects of their lives (go mobile!) Barriers Aligning incentives Engaging clinicians Clarifying regulations HIPAA, 2010-style (the new opt-in) New metrics to measure ROI – a Whole New Mind-set (see Pink) How connected do you really want to be with your health citizen-consumers?
61. In2009, Health Citizens Got More Engaged About Health Data Regina Holliday paints mural dedicated to her husband’s death from cancer and denial of medical records: “73 cents a page and a 21-day wait) Founding of HealthDataRights.org: health data as a human right “ We the people have the right to our own health data…have the right to take possession of a complete copy of our individual health data, without delay, at minimal or no cost…have the right to share our health data with others as we see fit…” e-Patient Dave reveals Google Health’s data glitches in his own case of kidney cancer.
62. Participatory Health Projects Emerging Areas and Examples Diabetes care: Center for Connected Health, Partners, Boston Heart disease: Cleveland Clinic and Microsoft HealthVault Crohn’s Disease: WellApps’ GI Monitor Cancer: ACOR clinical trials registry and community Wellness, weight management: Sparkpeople, TheCarrot, Keas, among many others.
63. Q: How Interested Would You Be in Using an In-Home Medical Device That Could Help You Know What You Needed to Do, and When, to Improve Your Health or Treat a Health Condition? 2 in 3 Americans Are Interested in Home Monitoring Technologies to Improve Health or Manage a Condition 64 % Extremely interested Not at all interested Interest ranges from 51% in the youngest generation (Gen Y) to 76% in the oldest generation (Seniors); 71% of consumers who sought care for a chronic condition in the past year are interested Source: Deloitte’s 2009 Survey of Health Care Customers
64. Will GE, Intel and Mayo Clinic Bring Good Things to Participatory Health? 3 consumer-facing brands come together to pilot home monitoring 200 Mayo Clinic patients: high-risk, over 60 years of age, managing chronic conditions Utilizing Intel’s Health Guide enabling upload of measurements and videoconferencing between clinicians and patients Goal: to assess efficacy of patient-provider connectivity for home monitoring among a high-risk patient group.
65. Positive Prospects for Participatory Health Consumer demand for more control given >OOP costs, trust issues, access to information Mobile and telehealth: phones as health tools, iTunes health apps fast-growing category, bullish 2010 Consumer Electronics Show and Barcelona Mobile World Congress Reimbursement Growth of patient-centered medical home Medicare payment models for care episodes/bundles Health reform: paying for value-based, quality care Employers seek value-based health plan benefit designs Look outside of traditional health care for disruptive innovations.
67. For an in-depth look into Health 2.0, read… The Past and Future of Health 2.0 Published January 2010 Download the exec sum at http://www.health2con.com/health-2-0-advisors/report-the-past-and-future-of-health-2-0/
68. For an in-depth look into this phenomenon, read… Participatory Health: Online and Mobile Tools Help Chronically Ill Manage Their Care Health Care Meets Online Social Media Download white paper published in September 2009 by California HealthCare Foundation at http://www.chcf.org/topics/chronicdisease/index.cfm?itemID=134063
69. Are you ready to participate in participatory health? Questions? For further information, please contact: Jane Sarasohn-Kahn [email_address] @healthythinker on Twitter www.think-health.com Matthew Holt [email_address] @boltyboy @health2con on Twitter thehealthcareblog.com THINK-Health
Editor's Notes
Internet users looking for health info in US from about 60m in 2002 to about 150m by 2008 Broadband users overtook dial up 2005 now in 55% of households This is the era of User-generated content, blogs, youtube, friendster, called Web 2.0 3 trends produce Health 2.0 --health bloggers --Search makes money (adwords) --SaaS
Internet users looking for health info in US from about 60m in 2002 to about 150m by 2008 Broadband users overtook dial up 2005 now in 55% of households This is the era of User-generated content, blogs, youtube, friendster, called Web 2.0 3 trends produce Health 2.0 --health bloggers --Search makes money (adwords) --SaaS
Vs. guidelines – doctors are bad at following them and patients are noncompliant
Coming back to the first pillar of Health 2.0 – searching for information online.